在急性尾炎中基于性别的差异:全国性的分析
Yasmin Arda1, Riley B Brackin1, Ikemsinachi C Nzenwa1
1Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
The Journal of surgical research
|December 3, 2025
概括
患有尾炎的女性面临更长的手术等待时间. 这项研究发现,女性更有可能经历尾切除术延迟,影响结果,并强调需要解决基于性别的护理差异.
科学领域:
- 外科手术 医疗外科手术
- 外科手术的结果
- 健康差异 在健康上的差异
背景情况:
- 急性尾炎在发病率,表现和结果上表现出明显的基于性别的变化.
- 现有的研究还没有充分探讨这些基于性别的差异.
- 这项研究通过调查尾切除时间的基于性别的差异来解决这一差距.
研究的目的:
- 为了调查基于性别的差异在急性尾炎的尾切除时间.
- 为了检查患者的性别和延迟尾切除术之间的关联.
- 评估延迟尾切除术对患者结局的影响.
主要方法:
- 利用了2013-2017年美国外科医生学院国家外科质量改进计划数据库.
- 包括117,682名患有急性尾炎的成年患者,接受紧急尾切除术.
- 采用多变量逻辑回归来分析性别与延迟尾切除术 (>入院后12小时) 之间的关联.
主要成果:
- 女性患者 (51.5%) 比男性 (48.5%) 更有可能经历延迟尾切除术 (aOR 1.16).
- 在女性中,延迟尾切除与术后出血增加有关 (aOR 1.76).
- 延迟尾切除与重复手术,再入院和长时间住院的风险更高相关.
结论:
- 患有急性尾炎的女性患者不成比例地受到延迟尾切除的影响.
- 这些发现强调了进一步研究尾炎管理中的性别差异的必要性.
- 解决这些差异对于改善患者的治疗结果和确保公平护理至关重要.
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